<div id="myPanel"> 
	<div class="hd">Log Payment</div> 
	<div class="bd">
		<form name="newPayment" action="<?php print $_SERVER["PHP_SELF"]; ?>" method="POST">
			<p>$<input type="text" name="addPayment" id="addPayment" size="10" /></p>
			<input type="submit" name="submit" value="Add" />
		</form>
	</div>
</div>